| NPI | 1396236477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON BREAUX Owner/Counselor 405-365-5082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6363) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |